Apolipoprotein A5: Extracellular and Intracellular Roles in Triglyceride Metabolism.

Apolipoprotein A5: Extracellular and Intracellular Roles in Triglyceride Metabolism.
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DOI:
10.2174/1389450116666150531161138
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发表时间:
2015
影响因子:
3.2
通讯作者:
Ryan RO
Ryan RO
中科院分区:
医学4区
文献类型:
--
作者:
Forte TM;Ryan RO

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本文综述了载脂蛋白(apo)A5的两个主要功能:(1)维持正常血浆循环甘油三酯(TG)水平的作用和(2)作为肝脂滴组分的作用。ApoA5仅在肝脏中合成,循环浓度极低。在血浆中,apoA5与富含TG的脂蛋白结合并增强TG水解和残余脂蛋白清除。ApoA5功能丧失单核苷酸多态性与脂解减少、残留清除不良以及伴随的高甘油三酯血症相关。虽然在理解与分泌型apoA5相关的病理生理学方面已经有了实质性的突破,但对细胞内apoA5的功能性的了解仍然很少。然而,最近的研究表明,细胞内apoA5的过度表达与肝细胞中富含TG的脂滴的积累呈正相关。人们认为apoA5可能在非酒精性脂肪肝(NAFLD)中起因果作用,因此可以作为开发NAFLD治疗方法的靶点。
This review addresses two major functions of apolipoprotein (apo) A5 including (1) its role in maintaining normal plasma levels of circulating triglyceride (TG) and (2) its role as a component of hepatic lipid droplets. ApoA5 is synthesized solely in the liver and circulating concentrations are extremely low. In the plasma, apoA5 associates with TG-rich lipoproteins and enhances TG hydrolysis and remnant lipoprotein clearance. ApoA5 loss-of-function single nucleotide polymorphisms are associated with reduced lipolysis, poor remnant clearance and concomitantly, hypertriglyceridemia. Although there have been substantial breakthroughs in understanding pathophysiology associated with secreted apoA5, there is a paucity of knowledge on the functionality of intracellular apoA5. However, recent studies indicate that overexpression of intracellular apoA5 is positively associated with accumulation of TG-rich lipid droplets in hepatocytes. It is thought that apoA5 may have a causal role in non-alcoholic fatty liver disease (NAFLD) and thus, may serve as a target for developing therapeutics for NAFLD.
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